NPI | 1821460239 |
---|---|
Doing Business As | MEDICAL ASSOCIATES AT WILLOW PARK |
Entity Type | Organization |
Authorized Contact | MATTHEW GORMAN STINE Owner/Physician 817-441-9252 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M9034) |
Enumeration Date | 2015-10-25 |
Last Update Date | 2015-10-25 |