NPI | 1649394735 |
---|---|
Other Name | SCOTT & WHITE CLINIC BCS EPSDT |
Entity Type | Organization |
Authorized Contact | ALICE CANTU Divsion Director, Rco 254-215-9719 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2007-03-16 |
Last Update Date | 2015-06-04 |