| NPI | 1508115718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG XIAO Medical Director 469-878-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX L3196) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |