NPI | 1861853004 |
---|---|
Doing Business As | THE BRIDGE |
Entity Type | Organization |
Authorized Contact | FREDERICK P. CERISE President & Chief Executive Officer 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
207Q00000X Family Medicine | |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-03-16 |
Last Update Date | 2022-12-07 |