| NPI | 1235513052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD NGUYEN Managing Member 817-881-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M0513) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N9850) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |