| NPI | 1104485440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Market President 214-213-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-09-10 |