NPI | 1407294986 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS S FOXX President/Owner 913-626-4633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS 4722856) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |