| NPI | 1649310111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer/Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CO 0039) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-02-11 |