| NPI | 1134126097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L. REED Officer, Authorized Official 972-763-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000028) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2014-03-27 |