| NPI | 1841705100 |
|---|---|
| Doing Business As | CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLY S. DOGGETT Physician/Sole Member 254-965-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |