| NPI | 1003942863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME MOISES VASQUEZ Medical Director 615-321-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 131) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |