NPI | 1104930411 |
---|---|
Doing Business As | OUTPATIENT SURGISITE |
Entity Type | Organization |
Authorized Contact | MARVIN KENNETH HALL Medical Director 903-938-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000173) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2022-08-22 |