| NPI | 1417404153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAU NGUYEN Managing Member 512-348-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX N0313) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2022-04-25 |