| NPI | 1235744566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAN PHAM HULEN Owner 214-274-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |