| NPI | 1013106657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUN President 972-758-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L3847) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-04-16 |