| NPI | 1760225361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VORANART SUNAKAPAKDEE Owner 817-874-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-11-12 |