NPI | 1821026386 |
---|---|
Doing Business As | VICKERY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | FREDERICK P. CERISE President & Chief Executive Officer 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-12-07 |