| NPI | 1437156379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer / Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-10-11 |