| NPI | 1932595204 |
|---|---|
| Doing Business As | EBH TEAM D 3CR-HOOD |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROPPLE Lead Health Insurance Technician 254-288-8381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-07-11 |