NPI | 1225156375 |
---|---|
Doing Business As | TRACY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MICHAEL H KIRKPATRICK CEO 209-373-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000423) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |