| NPI | 1043686702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAC TIEN VU President 713-272-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX J6791) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |