| NPI | 1649057431 |
|---|---|
| Doing Business As | CARRUS LAKESIDE RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANBU NACHIMUTHU Chairman/CEO 903-870-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |