NPI | 1386091940 |
---|---|
Former Legal Business Name | CHERYL CLARK BROWN |
Entity Type | Organization |
Authorized Contact | CHERYL CLARK-BROWN Owner 512-423-9886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L6830) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2016-05-24 |