| NPI | 1306826763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH PATEL Managing Member 765-825-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 050030842) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |