NPI | 1871799023 |
---|---|
Doing Business As | USADC BILLY JOHNSON-HOOD |
Entity Type | Organization |
Authorized Contact | BARBARA FLOWERS Ubo Manager 254-288-8693 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2007-06-25 |
Last Update Date | 2015-06-03 |