| NPI | 1043695695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI NGUYEN Medical Director 972-733-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128604) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |