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 Clinic/Center (Licence: OK 23586) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2013-02-01 |