| NPI | 1619123718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE LAMONT HELLMAN Owner/President 214-943-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX C6355) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2009-01-08 |