NPI | 1346056546 |
---|---|
Doing Business As | AMISTAD HEALTH |
Entity Type | Organization |
Authorized Contact | TAMIKO ROCHELL RICHARDSON Revenue Cycle And Compliance Coord 903-736-2577 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2024-12-04 |
Last Update Date | 2025-04-03 |