| NPI | 1053822676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S ONG Owner 956-545-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131597) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-04-20 |