| NPI | 1164480992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY MICHELLE ALSTROM Director Of Operations 361-578-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000396) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-06-25 |