NPI | 1245720911 |
---|---|
Doing Business As | MISSION MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | UGHWANMWAN T EFEOVBOKHAN Sole Member 210-908-9358 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-06-13 |