| NPI | 1174544415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYEN PHAN Owner 281-376-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M6312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9848) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-10-28 |