| NPI | 1750144150 |
|---|---|
| Other Name | BEULAH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PATRICK MONEKE Administrator 817-366-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-06-28 |