| NPI | 1982063269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE MILLER Administrator 806-701-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-06-19 |