| NPI | 1508012857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LUSK Chief Operating Officer 214-442-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2015-01-29 |