| NPI | 1801889993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE WILSON Owner 432-685-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-09-20 |