| NPI | 1104373315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREGORY SWINNEY VP 972-789-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 185) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-02-04 |