| NPI | 1669665212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE R ELLIS Business Office Supervisor 832-201-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |