| NPI | 1225818867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH HUYNH Member 972-415-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-03-03 |