| NPI | 1215091087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer/Authorized Offiical 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 007863) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-10-04 |