| NPI | 1770609042 |
|---|---|
| Doing Business As | ABUNDANT LIFE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEANDRITA FLORES ORTEGA Manager 580-272-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OK 23586) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-02-01 |