| NPI | 1083015143 |
|---|---|
| Doing Business As | NORTHSIDE PRIMARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TUE DUC NGUYEN Director 832-380-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G1972) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX G1972) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |