| NPI | 1437202967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BAZHAW VP Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-05-16 |