| NPI | 1679258941 |
|---|---|
| Doing Business As | MYCHN TECHNOLOGY DRIVE |
| Entity Type | Organization |
| Authorized Contact | BRANDY SMITH Credentialing COO Rdinator Ii 281-824-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-03-26 |