NPI | 1023885050 |
---|---|
Doing Business As | HARRIS FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | ARETHA RENEE HARRIS Provider 662-631-4316 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2023-12-11 |
Last Update Date | 2024-11-08 |