NPI | 1235864026 |
---|---|
Doing Business As | JUBILEE PARK COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | FREDERICK CERISE President And CEO 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 122300000X Dentist |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-12-07 |