NPI | 1346839859 |
---|---|
Doing Business As | ITINERANT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER RAY CHUMLEY Cmo 214-403-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-01-11 |
Last Update Date | 2022-11-16 |