| NPI | 1700532306 |
|---|---|
| Doing Business As | KATY TRAIL COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALLER CEO 660-826-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-02-21 |