| NPI | 1407853740 |
|---|---|
| Doing Business As | VILLAGE SPECIALTY SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MISTY DIANE WALTON Administrator 210-477-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000369) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2009-11-05 |