| NPI | 1215060546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEU CEO/President 254-965-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000256) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-11-11 |