| NPI | 1164964953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WALKER Chief Financial Officer 325-670-2182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |