| NPI | 1134295355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BAXTER Manager 713-782-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX D6574) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |