| NPI | 1912340720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HAN Medical Director 469-569-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX L0903) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2020-05-16 |