| NPI | 1053453134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DANNA Authorized Oficial 972-763-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 131) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-01-12 |