| NPI | 1932477965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GLEN WOODSON Administrator 580-250-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |