| NPI | 1083841464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIE-ALAIN B AWASUM Owner 832-576-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX ASC163) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |