| NPI | 1023341740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGER HODGSON Chief Administrative Officer 214-750-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2021-06-28 |