Organization
LUMANDA PA
Active
Other names
Belknap Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDA NJOTU PA (PRESIDENT)
(817) 834-7161
Entity
Organization
Contact information
Practice address
4010 E BELKNAP ST, HALTOM CITY, TX 76111-6609
(817) 834-7161
(817) 834-7104
Mailing address
4010 E BELKNAP ST, HALTOM CITY, TX 76111-6609
(817) 834-7161
(817) 834-7104
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA01216
TX
261QP2300X
Primary Care Clinic/Center
PA01216
TX
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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