NPI | 1295189249 |
---|---|
Doing Business As | ATHENA FAMILY MEDICINE |
Other Name | ATHENA FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KEVIN VO Medical Director 469-402-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5246) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX P5246) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2017-08-30 |