| NPI | 1023778115 |
|---|---|
| Other Name | MAGNOLIA PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRETT KINMAN Chief Executive Officer 870-235-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2023-02-24 |