| NPI | 1053845636 |
|---|---|
| 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 | 174400000X Specialist |
| 208000000X Pediatrics | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-06-13 |