NPI | 1912379322 |
---|---|
Doing Business As | ALEDO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SHAUN HARDING KRETZSCHMAR Owner/Physician 817-614-6878 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J9140) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J1940) |
Enumeration Date | 2015-10-25 |
Last Update Date | 2024-08-28 |