| NPI | 1518012558 |
|---|---|
| Doing Business As | LAWNDALE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CALIXTO JORGE RUIBAL Medical Director 832-200-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G0921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J9368) |
| 207Q00000X Family Medicine (Licence: TX H0743) | |
| 207R00000X Internal Medicine (Licence: TX K1780) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX E6843) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX E9383) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX E3766) | |
| 208000000X Pediatrics (Licence: TX K6707) | |
| 208600000X Surgery (Licence: TX G7822) | |
| 208800000X Urology (Licence: TX L8425) | |
| 261Q00000X Clinic/Center (Licence: TX G0921) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-01-12 |