| NPI | 1164617577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SON NGUYEN GIEP Physician / Owner 972-370-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0199) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2021-05-18 |