| NPI | 1679301972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY KIM Owner/CEO 972-520-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-04-14 |