| NPI | 1750769238 |
|---|---|
| Doing Business As | MED PLAZA |
| Entity Type | Organization |
| Authorized Contact | KIM NESVIG Executive Director 903-234-0776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-01-20 |