| NPI | 1316122609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN JEX Manager 281-859-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX asc234) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |