| NPI | 1336295336 |
|---|---|
| Other Name | FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANSEN S TODD Owner 936-639-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E9439) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-04-29 |