| NPI | 1215330956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHOUNG PHAN Owner 281-292-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX M3691) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |