| NPI | 1588619811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 067221) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-05-08 |