NPI | 1699948646 |
---|---|
Doing Business As | YOURCARE CLINIC BETHANY |
Entity Type | Organization |
Authorized Contact | SYNOVIA FAITH BAIN Client Account Administrator 405-231-3824 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-06-05 |