NPI | 1811485055 |
---|---|
Doing Business As | GENESIS PRIMECARE |
Entity Type | Organization |
Authorized Contact | TRACEY ENGEL Enrollment Specialist 903-927-3782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2023-08-28 |