NPI | 1154047389 |
---|---|
Doing Business As | TIM MASON FAMILY MEDICINE |
Other Name | TJ FOUR FAMILY LLC |
Entity Type | Organization |
Authorized Contact | TIMOTHY S MASON Owner 308-440-2983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-10-19 |
Last Update Date | 2022-12-12 |