| NPI | 1598068306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J RODRIGUEZ President 479-424-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR APPLIED FOR) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2024-01-04 |