| NPI | 1447660360 |
|---|---|
| Doing Business As | FW HUSTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAMONT COOK CEO 913-774-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-06-23 |