| NPI | 1588805428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JOHNSON President 281-865-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 007917) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |