| NPI | 1114781796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIENKIM DALCOUR Regional Administrator 713-560-1346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |