| NPI | 1477783751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTI BAVISHI Owner 713-541-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX ASC163) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |