NPI | 1396473211 |
---|---|
Doing Business As | LAKEPOINTE DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARCELO ERNESTO BRITO TELLES President 972-573-7228 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-08-09 |
Last Update Date | 2022-08-09 |