| NPI | 1811912793 |
|---|---|
| Doing Business As | BAYSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D JOHNSON President 361-857-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G7647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J8607) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-07-14 |