| NPI | 1629386784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007948) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2024-11-08 |