| 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 | 2023-09-22 |