| NPI | 1386108298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONGNING CHEN Owner 832-992-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |