| NPI | 1285086397 |
|---|---|
| Doing Business As | MEDICO MD |
| Entity Type | Organization |
| Authorized Contact | NATHAN PHUCKHAC NGUYEN Owner 979-532-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2018-01-08 |