| NPI | 1861930703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M OWEN Partner 806-392-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX L9837) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-09-27 |