| NPI | 1770668543 |
|---|---|
| Doing Business As | ONE SOURCE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYAN WEST CFO 325-643-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J1912) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: TX J1912) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-09-09 |