NPI | 1982819785 |
---|---|
Doing Business As | BENNETT FAMILY CARE CLINIC-HOOD |
Entity Type | Organization |
Authorized Contact | MICHELLE ROPPLE Lead Health Insurance Technician 254-288-8381 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Additional Taxonomies | 332000000X MilitaryU.S. Coast Guard Pharmacy |
Enumeration Date | 2007-05-14 |
Last Update Date | 2018-07-17 |