| NPI | 1851454722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TICH NGOC TRUONG Owner 214-826-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G2867) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX G 2867) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |