| NPI | 1780997247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC TAN NGUYEN President 713-542-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 801287765) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2014-04-14 |