NPI | 1710498043 |
---|---|
Doing Business As | NOVELLA FAMILY MEDICAL |
Entity Type | Organization |
Authorized Contact | LAQUITA A SHEPHERD Owner 214-532-3756 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4698) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2019-04-04 |