| NPI | 1952618258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYOUNG CHUNG Owner 254-634-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX F008600) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2018-01-29 |