| NPI | 1992248512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE COLEMAN Facility Administrator 806-792-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 14579) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |