NPI | 1194849281 |
---|---|
Doing Business As | SCOTT & WHITE CLINIC EPSDT |
Entity Type | Organization |
Authorized Contact | JULIUS PAUL DIECKERT Chairman Of Clinic Board 254-724-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |