| NPI | 1144875626 |
|---|---|
| Former Legal Business Name | INNOVISTA MEDICAL CENTER OF TX PA |
| Doing Business As | INNOVISTA LAS COLINAS |
| Entity Type | Organization |
| Authorized Contact | MIA WILLHITE COO 269-720-7042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-06-02 |