| NPI | 1174526990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYN HOWARD Business Office Manager 936-494-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007979) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-04-20 |