NPI | 1417954389 |
---|---|
Doing Business As | RIVER PARK MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | QUANG TRONG LE Do/Owner 817-731-1289 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QG0300X Family Medicine, Geriatric Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-01-08 |