| NPI | 1346868890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MAUREEN EARLY Administrator 817-710-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-06-13 |