| NPI | 1881888535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E LOCKWOOD President 940-387-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 434630) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2013-04-22 |