| NPI | 1841991346 |
|---|---|
| Doing Business As | MIDLOTHIAN MEDICAL AND SPORTS CENTER |
| Entity Type | Organization |
| Authorized Contact | BRAD WESLEY COLLINS Owner 972-723-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-09-27 |