| NPI | 1144593294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XINQING FAN Physician 214-929-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M2319) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-03-21 |