| NPI | 1568251239 |
|---|---|
| Doing Business As | EVERGREEN FAMILY CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | KEN WAMWIRI President 214-870-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |