| NPI | 1972288470 |
|---|---|
| Doing Business As | ITALY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN POPP CFO/Administrator 254-580-8950 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-08-08 |