| NPI | 1801617907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUAN DUC DAO Provider 832-359-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |