| NPI | 1932117389 |
|---|---|
| Doing Business As | FOOTHILLS FAMILY MEDICINE EAST BLACKSTOCK |
| Entity Type | Organization |
| Authorized Contact | REBECCA HURLEY Corporate Parelegal 214-473-3993 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-06-25 |