NPI | 1013407451 |
---|---|
Doing Business As | ESSENCIA FAMILY PRACTICE AND IMMEDIATE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | OLUSESAN OLUSEUN OLOTU Director 972-306-0016 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-05-10 |
Last Update Date | 2022-07-10 |