| NPI | 1972016384 |
|---|---|
| Doing Business As | COMMUNITY FIRST PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | NIDISH JOSE CEO 817-823-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134568) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-03-28 |