| NPI | 1467796730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DANNA Officer/Authorized Official 972-763-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-05-17 |