NPI | 1588129167 |
---|---|
Doing Business As | CLINIC FOR LESS HOME VISIT |
Entity Type | Organization |
Authorized Contact | OSAZE KEN OSEMWENGIE Owner 817-946-3318 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-02-07 |
Last Update Date | 2019-02-07 |