| NPI | 1053424960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DALE SHILLER President 903-723-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX ASC006825) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-09-19 |