NPI | 1306255013 |
---|---|
Doing Business As | DESTINY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JULIE WILSON Administrator 469-213-8310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |