NPI | 1851839120 |
---|---|
Doing Business As | HERRINGTON ORNELAS HEALTH PLAZA |
Entity Type | Organization |
Authorized Contact | ELIAS D FAJARDO Provider Enrollment Manager 903-510-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |