| NPI | 1740219724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARMEN BLACKSTOCK Clinic Administrator 806-799-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-02-05 |