| NPI | 1063818219 |
|---|---|
| Doing Business As | COMMUNITYMED FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | BIRKEN OLSON Chief Administrator 972-523-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2021-04-03 |