| NPI | 1982006532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H CRUMBLISS Owner/Physician 325-425-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F4797) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |