| NPI | 1609552249 |
|---|---|
| Doing Business As | PALM PRIMARY CARE TEXAS MEDICAL DISTRICT |
| Entity Type | Organization |
| Authorized Contact | OMAR F SELOD Sole Owner 817-243-7995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |