NPI | 1396266441 |
---|---|
Entity Type | Organization |
Authorized Contact | CURTIS J PENNELL Medical Director 903-595-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-04-12 |