| NPI | 1972552263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT MAGERS Assistant Dean Of Finance Administr 806-743-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2022-03-07 |