NPI | 1073817755 |
---|---|
Doing Business As | GENESIS CLINIC |
Entity Type | Organization |
Authorized Contact | ERICA NICHOLE GARCIA Clinic Administrator 806-688-4205 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2011-01-10 |
Last Update Date | 2012-02-24 |