| NPI | 1568117000 |
|---|---|
| Doing Business As | MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | UMA DEVI ADHIKARI Owner 940-206-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-04-16 |