| NPI | 1437523834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE RUBIO Business Director 832-230-0836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2022-07-21 |