| NPI | 1083038186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Manager 972-712-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130180) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-07-25 |