| NPI | 1245266790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A. IRVINE Owner 254-245-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007117) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-04-25 |