| NPI | 1235100074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A LEVY CEO 512-420-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX ASC112) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2009-11-19 |