NPI | 1821585340 |
---|---|
Doing Business As | THRIVE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | BRAD ERIC VENGHAUS Owner 979-743-0360 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5594) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2024-01-14 |