NPI | 1386086411 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMASTRIE Officer/Authorized Official 469-250-3640 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2013-07-17 |
Last Update Date | 2024-09-10 |