| NPI | 1295157337 |
|---|---|
| Doing Business As | PHOENIX HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DOROTHY LOUISE JACKSON Sole Owner 903-595-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N1355) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-06-24 |