| NPI | 1629839733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MCNUTT Medical Director 956-401-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-02-02 |