| NPI | 1780167866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KATHLEEN HESS General Director 806-670-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |