| NPI | 1356960132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROSE President, CEO 682-385-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-04-26 |