| NPI | 1437278843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER LINDEN DILLIN Medical Director 817-335-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000395) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |