NPI | 1154454460 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME JAMES CFO Finance 817-685-4011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000182) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-11-11 |