| NPI | 1619998523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN LARSEN CEO 713-489-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SC ASF-050) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2026-01-21 |