| NPI | 1134868672 |
|---|---|
| Other Name | THE CHILDRENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CANDACE L FONDREN Revenue Cycle Manager 662-624-4292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |