| NPI | 1326826553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA STANFIELD Office Administrator 214-404-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2026-07-15 |