| NPI | 1356141618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CRAFTS Officer/Authorized Official 832-729-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-08-29 |