| NPI | 1093186249 |
|---|---|
| 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 | 101Y00000X Counselor |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2024-12-12 |