| NPI | 1831397371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TAN VIET LAI Doctor 972-416-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: TX 9363) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |