| NPI | 1790986719 |
|---|---|
| Doing Business As | VISTA VERDE MEDICAL PLAZA |
| Entity Type | Organization |
| Authorized Contact | GARY BOWEN Chief Operations Officer 325-658-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2025-09-11 |