| NPI | 1104644574 |
|---|---|
| Doing Business As | NORTHAVEN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Admin 972-999-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-05 |