| NPI | 1598084725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN BAPTISTE DORVAL CEO 940-642-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA MD 203520) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |