| NPI | 1528481892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GANO Anesthesiologist 214-707-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX P1642) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX P1642) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |