| NPI | 1548374267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS I COTTEL President 214-696-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000188) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |