| NPI | 1831313568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ELAINE PARDUE Medical Director Partner 580-326-6423 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-01-12 |