| NPI | 1942796818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J WOLCOTT Owner 806-793-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8435) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-06-21 |