NPI | 1013805019 |
---|---|
Doing Business As | MENDRIX MED |
Entity Type | Organization |
Authorized Contact | KACEY CALLISON President 725-710-9224 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2025-06-26 |
Last Update Date | 2025-08-12 |