| NPI | 1639704323 |
|---|---|
| Doing Business As | MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KURT STAUDER President 424-529-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171R00000X Interpreter | |
| 172V00000X Community Health Worker | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-05-14 |