| NPI | 1093235046 |
|---|---|
| Doing Business As | REGIONAL HEALTH CLINIC AT TERRELL |
| Doing Business As | REGIONAL HEALTH CLINIC AT TERRELL, PLLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL O IDEMUDIA Owner 972-563-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-12-19 |