| NPI | 1154322600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W. KELLY President/Medical Director 940-723-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000317) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-17 |