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 |