| NPI | 1134512411 |
|---|---|
| Doing Business As | CARE FIRST PHYSICIANS EAST BAPTIST |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 1800-555-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |