NPI | 1154628170 |
---|---|
Doing Business As | MY CLINIC |
Entity Type | Organization |
Authorized Contact | FEDERICO MAESE President 214-537-7615 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J4319) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J4319) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J4319) | |
Enumeration Date | 2011-02-28 |
Last Update Date | 2019-08-12 |