| NPI | 1568959872 |
|---|---|
| Other Name | PH MEDICAL GROUP MIDLANDS |
| Entity Type | Organization |
| Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-385-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-02-08 |