| NPI | 1356816789 |
|---|---|
| Other Name | MOBILE CLINIC 2 |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DOTY Director Of Revenue Cycle 832-600-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |