| NPI | 1851038350 |
|---|---|
| Doing Business As | RIDGE CREEK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CARRIE A JOHNSON Owner 254-301-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-10-30 |