| NPI | 1184922353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CRAFTS Market President 832-729-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 130117) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2023-11-01 |