| NPI | 1366444929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer / Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 033202) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-09-19 |