| NPI | 1770256836 |
|---|---|
| Doing Business As | MCNAIRY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | IRA KEITH ELLIS Owner 731-660-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |