| NPI | 1720535800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KWON P LLC Member 432-366-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX N0192) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |