| NPI | 1053679449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MANSIK Owner 713-894-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: TX 00074629) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |