| NPI | 1790075273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL EDWARDS Director Of Sports Medicine 270-745-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |