| NPI | 1548306327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STRINDEN Administrator 936-637-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX TX 490263) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |