| NPI | 1952024408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NGUYEN Director 409-219-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-05-16 |