| NPI | 1104996149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK EDWARD JENSEN Manager 713-647-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX F1071) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |