NPI | 1184507196 |
---|---|
Doing Business As | KATY TRAIL COMMUNITY HEALTH |
Entity Type | Organization |
Authorized Contact | MICHAEL WALLER CEO 660-826-4774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-07-28 |