| 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 |