| NPI | 1447606785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH TUAN TRAN Owner 469-235-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 8806TG) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |