NPI | 1386119428 |
---|---|
Doing Business As | MEDICO MD |
Entity Type | Organization |
Authorized Contact | ANDREA CARRILLO Regional Director 817-831-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-10-04 |
Last Update Date | 2022-01-26 |