| NPI | 1982624409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M PARKER Co Owner 806-355-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D7655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX D6549) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 667396) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-12-27 |