| NPI | 1336391085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CRAFTS Officer/AO 832-729-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 130003) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2024-10-11 |