| NPI | 1306989249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L SMITH Md 936-564-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008491) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-09-08 |