| NPI | 1811431752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA PHAM Owner 512-796-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA-60711305) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-02-15 |