NPI | 1477290591 |
---|---|
Other Name | TRIAD COMPLETE HEALTHCARE A14 |
Other Name | TRIAD COMPLETE HEALTHCARE Z14 |
Entity Type | Organization |
Authorized Contact | MATT BINTZ CEO/Owner 580-765-3055 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-05-19 |
Last Update Date | 2025-09-02 |