| NPI | 1659464675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR MASOUD KARAM Staff Surgeon 565-826-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA A82484) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA A82484) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |