| NPI | 1336142413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer/Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007965) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-10-20 |