| NPI | 1245419647 |
|---|---|
| Doing Business As | PREVENTIVE CARE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEANINE HOLMES-THOMAS Physician 817-419-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8147) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2010-12-22 |