NPI | 1275669541 |
---|---|
Entity Type | Organization |
Authorized Contact | THAO QUI NGUYEN Doctor 817-277-2977 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J9242) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX J9242) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2017-03-15 |