| NPI | 1346576790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI BEAVER Administrator 214-742-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130019) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2010-09-30 |