| NPI | 1619923950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M ANDREW Credentialing Specialist 512-901-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008167) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-10-21 |