| NPI | 1508840497 |
|---|---|
| Doing Business As | THE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAY PATRICE CAPAN Executive Director 940-381-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2010-06-24 |