| NPI | 1811208697 |
|---|---|
| Doing Business As | COPPER RIDGE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOVE D PAUL Owner 512-837-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F7516) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |