| NPI | 1194228312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG MEE L PARK Owner 832-528-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX AC01698) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |