NPI | 1093165631 |
---|---|
Doing Business As | VIK COMPLETE CARE LAKEWAY |
Entity Type | Organization |
Authorized Contact | JOHN BRAXTON NEIMAN General Counsel 817-421-0034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
Enumeration Date | 2016-06-14 |
Last Update Date | 2023-03-28 |