| NPI | 1114902871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL Chief Executive Officer 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002942) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-02-05 |