| NPI | 1144579095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN K CHRISTIAN Manager 281-404-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130124) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-10-28 |