| NPI | 1437478591 |
|---|---|
| Doing Business As | PROVIDENCE BARIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | KAREN K RICHARDSON Sr.VP/CFO 254-751-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX 000040) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |