| NPI | 1194264036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT GUTTIGOLI M Anaging Member 469-358-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130304) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |