NPI | 1053663690 |
---|---|
Doing Business As | GENESIS PRIMECARE |
Entity Type | Organization |
Authorized Contact | CARLA ROADCAP CEO 903-927-3782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-10-05 |
Last Update Date | 2024-06-13 |