| NPI | 1144908351 |
|---|---|
| Doing Business As | BAXTER HEALTH PREMIER FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LUCINDA CROW System Data Analyst 870-508-1081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |