| NPI | 1255083135 |
|---|---|
| Doing Business As | THE CLINIC AT MEDICAL SQUARE |
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID HAYES Managing Member 713-464-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-01-22 |