| 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 |