| NPI | 1518002633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ANDERSON Business Office Manager 972-985-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000342) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |