| NPI | 1598956088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R TENNY Managing Memeber 972-230-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007799) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |