| NPI | 1235132150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JEAN HOFSTETTER Business Office Manager 713-330-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 0376) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-11-07 |