| NPI | 1124057872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KUNTZ Administrator 281-292-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 008150) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |