NPI | 1144675059 |
---|---|
Doing Business As | EXPRESS FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | LOURDES E GODFREY Office Manager 972-672-4121 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX M3680) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2023-08-09 |