| NPI | 1669947891 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | ANDREA CARRILLO Executive Director 817-446-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2022-01-26 |