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 |