NPI | 1558587568 |
---|---|
Doing Business As | TRI-STATE HEALTHCARE FOR WOMEN |
Entity Type | Organization |
Authorized Contact | ERICA MONTGOMERY Office Manager 622-342-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 9374) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2008-06-18 |