| NPI | 1104886969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIRKHAM Billing Supervisor 325-657-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-08-26 |