NPI | 1225671035 |
---|---|
Doing Business As | GRACEFUL CARE CLINIC |
Entity Type | Organization |
Authorized Contact | STACY MCCOWN Office Manager 903-586-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-10-24 |
Last Update Date | 2021-01-03 |