| NPI | 1396501201 |
|---|---|
| Doing Business As | CENTERWELL SENIOR PRIMARY CARE-WEST GRAND |
| Entity Type | Organization |
| Authorized Contact | BRIENNE JANSEN LOY Owner 832-667-4150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-03-11 |