| NPI | 1831369628 |
|---|---|
| Other Name | WESTPORT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GREGGORY KEVIN PHILLIPS Doctor 817-490-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TX H6511) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |