NPI | 1013628353 |
---|---|
Doing Business As | HAZEL HAWKINS PRIMARY CARE & SURGICAL SPECIALTY CENTER |
Entity Type | Organization |
Authorized Contact | MARY CASILLAS CEO 831-635-1455 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2022-12-07 |
Last Update Date | 2024-02-12 |