| NPI | 1750046744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA DANG Owner 817-459-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-05 |