| NPI | 1619151297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEI GAO Medical Director 469-939-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L0191) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2022-07-08 |