| NPI | 1952892143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUONG MY NGO President 817-247-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135185) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-03-14 |