| NPI | 1821611294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RAMIREZ Administrator 806-795-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-10-19 |