| NPI | 1891280277 |
|---|---|
| Doing Business As | MED PLAZA III |
| Entity Type | Organization |
| Authorized Contact | KIM DALE NESVIG Chief Executive Officer 903-234-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |