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