| NPI | 1437720828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNA VILLARREAL Administrator 214-551-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |