NPI | 1568075638 |
---|---|
Doing Business As | MEHOP WHARTON HEALTH 2 |
Entity Type | Organization |
Authorized Contact | MANUELA LUNA Billing/Credentialing Manager 979-245-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2023-04-24 |