| NPI | 1356594378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG THE NGUYEN President 817-801-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M5854) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-12-02 |