NPI | 1235589201 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE WU President 214-400-7674 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX ap131200) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap131200) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2017-11-13 |