NPI | 1629508387 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Officer/Authorized Official 469-250-3640 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-06-15 |
Last Update Date | 2024-09-10 |