| NPI | 1750042958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TURBETT Owner 254-230-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-04-24 |