| NPI | 1649418260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE L. WONG Owner 915-833-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 4899TG) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |