| NPI | 1295176139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer/Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC sc-11-48) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-09-05 |