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 |