| NPI | 1043887441 |
|---|---|
| Doing Business As | CENTRAL MIND AND MEDICAL CENTER |
| Doing Business As | TEMPLE IV DRIP |
| Entity Type | Organization |
| Authorized Contact | MARILYN OMOMEN Nurse Practitioner 254-624-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2024-01-11 |