| NPI | 1255130704 |
|---|---|
| Doing Business As | SETON MEDICAL GROUP - MOBILE CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HIGGINGBOTHAM President/CEO 667-234-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-11-06 |