NPI | 1154894822 |
---|---|
Doing Business As | ADA FAMILY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | TASHIBA WILLIAMS Administrator 832-669-9409 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2019-01-05 |
Last Update Date | 2020-02-07 |