| NPI | 1336635747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer / Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-09-13 |