Organization Name: | TODAY CLINIC TEXAS PLLC |
NPI Number: | 1033583984 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT CAUTHEN (MEMBER) |
Mailing Address: | 1318a W Main St Lewisville |
State: | TX US |
Postal Code: | 750673326 |
Phone Number: | 2142220781 |
Fax Number: | 2145130495 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |