| NPI | 1528528114 | 
|---|---|
| Doing Business As | MEDICOS FAMILY CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | ALISON TEMPLE Billing Administrator 817-757-2902  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2019-03-21 | 
| Last Update Date | 2019-05-08 |