| NPI | 1982287942 |
|---|---|
| Former Legal Business Name | NASA HEALTHCARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | AGNES MONGINA AONDO Owner 317-701-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-05-23 |