NPI | 1821289539 |
---|---|
Doing Business As | SENIOR CLINIC |
Entity Type | Organization |
Authorized Contact | BOB KAVISIC Office Manager 325-949-9408 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G5439) |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TX H4593) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |