| NPI | 1467506907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON C BAZHAW Chief Revenue Officer 214-893-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S551002) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-02-05 |