NPI | 1821410523 |
---|---|
Doing Business As | CENTERVILLE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | CHUKWUMA CHIMEZIE OSUAGWU President 214-766-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4412) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2014-01-15 |
Last Update Date | 2020-11-16 |