NPI | 1356526164 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BURTON Supervisor 214-350-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 008323) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |