| NPI | 1629381967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BLACKBURN MCLAUGHLIN Managing Partner 817-870-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-28 |