| NPI | 1457682841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J BRUMLEY Administrator 214-509-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008093) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |