| NPI | 1023631678 |
|---|---|
| Doing Business As | MEHOP WHARTON PRIMARY |
| Entity Type | Organization |
| Authorized Contact | MANUELA LUNA Provider Enrollment Coordinator 979-245-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-04-28 |