| NPI | 1831591395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY SCRUGGS Assistant Athletic Trainer 325-674-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AT4915) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |