NPI | 1588092472 |
---|---|
Doing Business As | GENESIS PRIMECARE |
Entity Type | Organization |
Authorized Contact | CARLA ROADCAP Chief Executive Officer 903-927-3782 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2023-08-28 |