| NPI | 1790167104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE OLSON Executive Director 806-795-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G6867) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |