NPI | 1124608625 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJ SINGLA Medical Director 409-985-7018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |