NPI | 1326237579 |
---|---|
Entity Type | Organization |
Authorized Contact | JODIE ELLIS Business Office Supervisor 832-201-5157 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2007-10-23 |
Last Update Date | 2007-10-23 |