NPI | 1326826553 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MARTINEZ Office Administrator 972-503-4331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2023-09-19 |
Last Update Date | 2024-02-23 |