NPI | 1265630297 |
---|---|
Doing Business As | GRAND PARK MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ROY H GILLICK M.D./Owner 281-392-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E7950) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2008-08-11 |