| NPI | 1144464975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY RANDALL TILLIS Director Business Office 713-355-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |