| NPI | 1962403030 |
|---|---|
| Doing Business As | INTEGRIS CANADIAN VALLEY FAMILY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY M BROWN VP Of Physician Practice Management 580-548-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-01-02 |