| NPI | 1255764049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL C NGWU Owner 214-879-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2087) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |