| NPI | 1437419660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DANNA Officer/Authorized Official 972-763-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2021-03-04 |