| NPI | 1265293377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GIBSON President And Owner 214-558-2428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |