NPI | 1265613285 |
---|---|
Doing Business As | ST. PAUL'S MOBILE CLINIC |
Entity Type | Organization |
Authorized Contact | JUDY DAVIS Executive Director 903-533-7404 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2007-11-19 |