NPI | 1235538141 |
---|---|
Doing Business As | WYNNEWOOD ACUTE RESPONSE CLINIC |
Entity Type | Organization |
Authorized Contact | FREDERICK P. CERISE President/Chief Executive Officer 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
207Q00000X Family Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-08-15 |
Last Update Date | 2022-12-07 |