| NPI | 1134755119 |
|---|---|
| Other Name | CORTEZ ORAL HEALTH |
| Doing Business As | AXIS HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | SHELLY BURKE Chief Executive Officer 000-000-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2021-05-27 |