| NPI | 1396131751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L LE CEO 832-799-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130229) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-08-07 |