| NPI | 1578003208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BAZHAW Sr VP Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2020-04-16 |