| NPI | 1114902608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HOANG TRAN President 281-485-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 12485) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |