| NPI | 1629392063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNG SIEU CHEN Owner 817-260-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX K7694) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2023-10-03 |