NPI | 1336104926 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM G SWINNEY VP 972-789-2877 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060032) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2018-02-06 |