| NPI | 1407338338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIAZY MAHMOUD SELIM President/CEO 337-502-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA MD207592) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-03-03 |