| NPI | 1437505948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI J. ROSE Chief Administrator 512-600-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-10-06 |