| NPI | 1437676640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL NGUYEN COO 940-442-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 208800000X Urology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2026-01-06 |