| NPI | 1962563148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBI MEEKS Contract Management Coordinator 580-421-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-08-17 |