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 |