| NPI | 1477516979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREGORY SWINNEY VP 972-789-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH654) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-02-15 |