| NPI | 1053031872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS WOODELL VP Of Rcm 817-291-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-01-23 |