| NPI | 1215067400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE BENBOW Owner/Authorized Official 972-884-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-03-18 |