| NPI | 1205945243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer/Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL #1135) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-09-17 |