| NPI | 1871525683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L. WILLIAMS Director 254-750-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: TX F7262) |
| Additional Taxonomies | 261QP0905X Clinic/Center Public Health, State or Local |
| 1223D0001X Dentist Dental Public Health | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-05-16 |