NPI | 1194430371 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BYRON MCCLAIN Medical Director 936-240-0530 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |