NPI | 1760047617 |
---|---|
Doing Business As | DIVERSE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | RYAN ZEESTRATEN Owner 903-308-4336 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |