NPI | 1154017242 |
---|---|
Doing Business As | PRISM HEALTH NORTH TEXAS |
Entity Type | Organization |
Authorized Contact | JOHN THOMAS CARLO Chief Executive Officer 214-521-5191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
251B00000X Case Management | |
261QC1500X Clinic/Center, Community Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-04-12 |
Last Update Date | 2024-08-01 |