| NPI | 1962152710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KANG Owner 580-478-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |