| NPI | 1205519139 |
|---|---|
| Doing Business As | IC360 CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANISHA TURNER CEO 832-848-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |