| NPI | 1467921346 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRILLO Executive Director 817-831-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-01-26 |