| NPI | 1093113912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI THANH NGUYEN Director 409-344-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX P7823) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX P7823) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TX P7823) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2023-03-01 |