NPI | 1609382209 |
---|---|
Doing Business As | THE BEVERLY CLINIC |
Entity Type | Organization |
Authorized Contact | DAYTRAL BROWN Nurse Practitioner 903-212-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP120067) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2017-12-18 |