NPI | 1417413188 |
---|---|
Doing Business As | MIDCOAST CAMPUS CARE |
Entity Type | Organization |
Authorized Contact | ANITA M CRISP Clinic Director 979-543-5510 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |