| NPI | 1487719670 |
|---|---|
| Doing Business As | FANNETT MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROGELIO DUNGO MENDOZA Medical Director 409-794-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F2352) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-01-09 |