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 |