NPI | 1124492541 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS CRAFTS Officer / Authorized Official 832-729-4009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2015-11-23 |
Last Update Date | 2024-01-23 |