| NPI | 1104845015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MINCHER Senior VP Revenue Cycle 682-236-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 000182) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000182) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-04-22 |