| NPI | 1174258107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PERRY MURPHY Clinical Director 682-800-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-05-16 |