| NPI | 1548788698 |
|---|---|
| Former Legal Business Name | TOTAL PRIMARY CARE P.C |
| Entity Type | Organization |
| Authorized Contact | XIOMARA J PORRAS Provider 405-470-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-11-20 |