| NPI | 1295189249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN VO Medical Director 469-402-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5246) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: TX P5246) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2017-08-30 |