| NPI | 1396210423 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRILLO Regional Director 817-831-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-01-26 |