| NPI | 1285470187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARRISH KHAN Manager 712-699-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |