ICW TA

WICHITA FALLS, TX
NPI1770660136
Doing Business AsFAMILY HEALTH CLINIC OF TEXOMA
Entity TypeOrganization
Authorized ContactROBERT SHAWN SMITH
Owner
940-851-9900
Organization Subpart ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA00159)
Enumeration Date2006-11-01
Last Update Date2008-11-06
Business Address
ICW TA
1411 13TH ST
WICHITA FALLS, TX 76301-7100
Phone number: 940-851-9900
Mailing Address
ICW TA
1411 13TH ST STE 2
WICHITA FALLS, TX 76301-7100
Phone number: 940-851-9900