| NPI | 1679065759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer/Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-10-11 |