| NPI | 1942806773 |
|---|---|
| Former Legal Business Name | DIRECT PRIMARY CARE IN TEXAS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELE GRAHAM Manager 817-349-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-02-08 |