| NPI | 1629749783 |
|---|---|
| Doing Business As | PRIME GROUP MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JESSIE MENDIOLA Manager 469-438-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-06-21 |