| NPI | 1679554349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T MCMAHON President Owner 361-578-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000144) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-05-05 |