| NPI | 1346573722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY PRICE Credentialing Coordinator 713-275-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130058) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: TX 130058) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2014-01-13 |