| NPI | 1215204268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENNEN T. GALLAS Chairman Of The Board 281-646-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |