| NPI | 1316991938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SHAW Medical Director 817-868-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007186) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-10-01 |