| NPI | 1912571613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE LEROY PHILLIPS Owner/Nurse Practitioner 806-886-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |