| NPI | 1164661070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY RANDALL TILLIS Director, Bom 713-355-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |