NPI | 1821159518 |
---|---|
Former Legal Business Name | TEXAS BAND OF KICKAPOO |
Entity Type | Organization |
Authorized Contact | JUANITA ELIZONDO Office Manager 830-421-5903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2006-12-13 |
Last Update Date | 2023-03-14 |