NPI | 1912352485 |
---|---|
Doing Business As | VITAL CARE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | NEILL SLATER Owner 432-687-2273 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice (Licence: TX AP121037) | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |