| 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 |