| NPI | 1427416551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED YOSHIO FISHER President 972-822-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A052523) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |