| NPI | 1093679110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HARDY Director Of Operations 903-920-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |