NPI | 1548745383 |
---|---|
Doing Business As | GENESIS PRIMECARE |
Entity Type | Organization |
Authorized Contact | CARLA ROADCAP CEO 903-927-3782 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
Enumeration Date | 2018-09-27 |
Last Update Date | 2023-08-28 |