| NPI | 1598351785 |
|---|---|
| Other Name | ONLYMED CLINIC |
| Doing Business As | CLOUD KETAMINE |
| Entity Type | Organization |
| Authorized Contact | BISHARA ROBERT KHOURY Do 331-645-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2023-03-27 |