| NPI | 1053992008 |
|---|---|
| Doing Business As | SOUTHERN HOSPITALITY BY CLOVER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | VICTORIA HEROLD CEO/ Physician 469-294-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-10-30 |