NPI | 1285394015 |
---|---|
Doing Business As | LAKEPOINTE DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARCELO ERNESTO BRITO TELLES Medical Director/Family Physician 779-770-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-12-21 |
Last Update Date | 2022-10-13 |