| NPI | 1376711457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH B. NGUYEN President 972-276-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 149213) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-04-01 |