NPI | 1104996735 |
---|---|
Doing Business As | BRAZOS FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LISA JOHNSON KIRK Physician/Owner 254-776-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-09 |
Last Update Date | 2009-04-22 |