NPI | 1811024474 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER J BRIDGES Medical Director 806-354-2213 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H6071) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |