| NPI | 1073754602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R. SCHAEFFER Managing Member 662-349-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2012-04-05 |