PATIENT AGREEMENTPatient Agreement • May 20th, 2021 • Texas
Contract Type FiledMay 20th, 2021 JurisdictionThis is an Agreement entered into on , 20 , by and between Direct Primed Care PLLC , (“Provider”) located at:180 state St , Suite 225 , Southlake, Tx, 76092, Dr Abdier Delgado Gonzalez , Physician in his capacity as manager of Direct Primed Care PLLC, and