| NPI | 1396220604 |
|---|---|
| Former Legal Business Name | 1710 MANSFIELD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LORI GUERRERO Administrator 972-294-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-02-23 |