| NPI | 1770093130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRINT RICHTER Operations Manager 940-322-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2021-06-04 |