| NPI | 1558401299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DANNA Authorized Official 972-763-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000450) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-02-28 |