| NPI | 1801196035 |
|---|---|
| Doing Business As | GOOD LIFE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEFFLEY Owner 281-888-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |