| NPI | 1639889306 |
|---|---|
| Doing Business As | CLINICA FAMILIAR LA VIRGEN DE GUADALUPE |
| Entity Type | Organization |
| Authorized Contact | CINDY OLALDE Office Manager 214-240-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |