| NPI | 1265765143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WAYNE ADAM Owner 281-286-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX J8858) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |