| NPI | 1891195590 |
|---|---|
| Doing Business As | MMG MINOR EMERGENCY |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH Chief Financial Officer 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |