NPI | 1245419647 |
---|---|
Doing Business As | PREVENTIVE CARE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JEANINE HOLMES-THOMAS Physician 817-274-0329 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8147) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2025-02-11 |