| NPI | 1245416619 |
|---|---|
| Doing Business As | PROMENADE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ADAM S MINER Physician/Owner 972-234-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J2689) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX J2689) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2009-05-15 |