| NPI | 1144665720 |
|---|---|
| Doing Business As | ST. JOSEPH FAMILY MEDICINE 29TH |
| Entity Type | Organization |
| Authorized Contact | SAM FULTON Director Revenue Cycle 979-774-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |