| NPI | 1376737189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG V NGUYEN President 817-801-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 261QP1100x) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2010-09-30 |