| NPI | 1588203988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Chief Revenue Officer 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2025-02-14 |