NPI | 1538626205 |
---|---|
Doing Business As | CAMP BULLIS PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LISA MARIE TRINQUIER Administrator 210-686-0603 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-02-28 |
Last Update Date | 2019-02-28 |