| NPI | 1437140431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAO THACH Owner 214-703-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX l6667) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |