| NPI | 1013089127 |
|---|---|
| Other Name | AMBULATORY SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN A ICETON Chairman 409-983-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000155) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |