| NPI | 1639656325 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PINER Regional Director 469-253-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M2606) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2022-05-26 |