| NPI | 1942593447 |
|---|---|
| Doing Business As | JASPER FAMILY HEALTH & WELLNESS RURAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD D PHAM President 409-381-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |