| NPI | 1477646271 |
|---|---|
| Doing Business As | ALICE PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM NISIMBLAT Owner 361-664-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-02-09 |