| NPI | 1952069932 |
|---|---|
| Doing Business As | DAVY CROCKETT DRUG CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES JEFFREY MARTIN Director 936-544-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-01-30 |