| 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 |