| 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 |