| NPI | 1366982845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1092) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-10-11 |