A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
taxonomy 261Q00000X
Identifiers
Type
Value
Notes
05 (TX)
284219701
01 (TX)
74-1852
CMS
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
BBWC
Type code 5recorded 2020-09-24
BBWC
Type code 5recorded 2015-04-01
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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