| 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 |