| NPI | 1386210441 |
|---|---|
| Doing Business As | TWELVE52 CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMEKA ROYAL Nurse Practitioner 903-399-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-09-17 |