NPI | 1346866019 |
---|---|
Doing Business As | TRI-STAR PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | KATRINA MONTES LEE Owner 725-500-4645 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2020-06-18 |
Last Update Date | 2022-09-29 |