| NPI | 1881070480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LAM LE President 346-980-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX N3819) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-07 |