| NPI | 1831606722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY HOWINGTON Management 580-775-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX Q9070) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 09927) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |