A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1821160607 |
| LBN Legal business name | THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC |
| Authorized official | TASHA VASSAR - (MEDICAL BILLING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 11/15/2006 |
| Last updated | 02/14/2022 - About 4 years ago |
| Identifiers | n/a |
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