| NPI | 1457680811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG G IN President 409-833-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E6435) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2024-06-07 |