| NPI | 1720706922 |
|---|---|
| Doing Business As | BELLA VISTA FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD STRATTON DOUGLAS Owner 903-278-9054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |