| NPI | 1225507429 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRILLO Regional Manager 817-446-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-01-26 |