NPI | 1093438384 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY BLAIR ELDER Revenue Cycle Administrator 737-247-1223 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-09-21 |
Last Update Date | 2024-02-01 |