NPI | 1487301685 |
---|---|
Doing Business As | CARRUS LAKESIDE PRIMARY CARE |
Doing Business As | CARRUS LAKESIDE URGENT CARE |
Doing Business As | CARRUS LAKESIDE THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | ANBU NACHIMUTHU Chairman/CEO 903-870-2745 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-05-06 |