NPI | 1194090001 |
---|---|
Doing Business As | E. CARLYLE SMITH, JR. HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | FREDERICK CERISE President And CEO 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist, Clinical | |
207Q00000X Family Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2012-03-12 |
Last Update Date | 2022-12-19 |