NPI | 1588351407 |
---|---|
Doing Business As | LCHC SOUTHCARE |
Entity Type | Organization |
Authorized Contact | BRENT SMITH CEO 580-585-5522 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |