| NPI | 1386294668 |
|---|---|
| Doing Business As | PRIMARY & PALLIATIVE HEALTH CARE OF TEXAS |
| Entity Type | Organization |
| Authorized Contact | SHANITA WITHERSPOON Credentialing Manager 678-900-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-01-14 |