| NPI | 1821803438 | 
|---|---|
| Doing Business As | PREVENTIVE CARE MEDICAL CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | JEANINE THOMAS Physician 817-274-0329  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2025-02-11 | 
| Last Update Date | 2025-02-26 |