| NPI | 1255691929 |
|---|---|
| Doing Business As | SOUTH PAYSON CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT MEREDITH Owner 940-634-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 2785828-1206) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-06-22 |