| NPI | 1336749621 |
|---|---|
| Former Legal Business Name | PRAXIS MEDICAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | JESSICA M REAGAN Revenue Cycle Director 541-966-6136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-08-30 |