NPI | 1841813490 |
---|---|
Doing Business As | MEHOP WHARTON SPECIALTY |
Entity Type | Organization |
Authorized Contact | HEATHER MUNOZ Provider Enrollment Coordinator 979-245-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-05-18 |
Last Update Date | 2022-01-06 |