| NPI | 1902426489 |
|---|---|
| Doing Business As | BROKEN BOW FAMILY CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | LAUREN DAWN RAGLAND Office Manager 580-584-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2024-04-09 |