NPI | 1467927988 |
---|---|
Doing Business As | MEDICO MD |
Entity Type | Organization |
Authorized Contact | ANDREA CARRILLO Executive Director 817-831-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-10-11 |
Last Update Date | 2022-01-26 |