| NPI | 1730879628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYSON BOYD Director 940-233-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-11-15 |