NPI | 1265534556 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0732 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 800019126) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2024-10-29 |