NPI | 1053562264 |
---|---|
Doing Business As | MAIN STREET MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM ZAHALUK Managing Member 214-542-1271 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J9851) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-12-02 |