NPI: 1053561761 · BASTROP, TX 78602 · Family Medicine Physician · NPI assigned 09/30/2008
| Authorized Official | DOUGHERTY, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 09/30/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $175.30 |
| 2019 | 21 | $565.79 |
| 2020 | 21 | $0.00 |
| 2021 | 28 | $1K |