| NPI | 1619637543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer/Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-01-30 |