| NPI | 1588938187 |
|---|---|
| Doing Business As | COVENANT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALEXANDER CEO 817-224-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX n6605) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-10-31 |