| NPI | 1720350531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CHUNG Family Physician 469-258-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M3998) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |