| NPI | 1366013914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D BULLAJIAN Owner/Authorized Official 214-360-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-04-16 |