NPI | 1316632540 |
---|---|
Former Legal Business Name | A1 MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | SHEEBA MATHAI Director 972-313-5017 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-04-05 |
Last Update Date | 2025-01-09 |