| NPI | 1912350737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBREY VAUGHN JOHNSON Nurse Practitioner 806-355-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: TX AP131438) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2016-07-16 |