| NPI | 1609006113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRAIG KILLOUGH Manager 713-960-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130010) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |