NPI | 1578732871 |
---|---|
Entity Type | Organization |
Authorized Contact | BINH DAC HO Owner 972-276-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX TEXAS TEMP) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K3236) |
207Q00000X Family Medicine (Licence: TX K3236) | |
Enumeration Date | 2008-02-21 |
Last Update Date | 2008-02-21 |