| NPI | 1376591156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL SALAZAR Chief Administrative Officer 817-784-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-08-21 |