| NPI | 1619747938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJU N SHAH Asst. Administrator 915-521-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-03-05 |