NPI | 1518920040 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM G SWINNEY VP 972-789-2877 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 986) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2018-02-06 |