| NPI | 1790210557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI HUONG NGUYEN-PHUOC Owner 832-607-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA NT60692341) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60248920) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |