Big Country Aids Support Group

NPI #1235506429 in Abilene, Texas

Provider Information

NPI Number: 1235506429
Entity Type: Organization
Organization Name: Big Country Aids Support Group
Primary Specialty: Clinic/Center
Enumeration Date: Aug 24, 2015
Last Updated: Aug 17, 2021

Practice Location

Address: 402 BUTTERNUT ST
City: Abilene
State: Texas
ZIP Code: 79602-1327
Phone: (325) 603-0691

Authorized Official

Name: MR. JAMES WAGSTAFF
Title: CHIEF EXECUTIVE OFFICER
Phone: (325) 672-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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