| NPI | 1649494170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKHTAR ANEES CEO 817-293-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008364) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-06-19 |