| NPI | 1538300801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPITI BAVISHI Owner 713-540-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008568) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-19 |