| NPI | 1376650911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN I KING Co Owner 325-695-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 0166) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-16 |