NPI | 1073822425 |
---|---|
Former Legal Business Name | MISI, PA |
Entity Type | Organization |
Authorized Contact | MICHAEL BASSEM RIMLAWI Founder/Board Chair 972-884-4301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130080) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-10-04 |
Last Update Date | 2013-07-29 |