NPI | 1598965634 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Officer/Authorized Official 214-213-0732 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1046) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2025-07-30 |