| NPI | 1881913028 |
|---|---|
| Doing Business As | CHILDREN MEDICAID CLINIC |
| Entity Type | Organization |
| Authorized Contact | NAVJOT BAJWA Provider 817-623-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX k5790) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-09-04 |