| NPI | 1215935234 |
|---|---|
| Doing Business As | SOUTHWEST FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA D GEORGE Vice Chancellor Chief Financial Off 501-686-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-07-12 |