| NPI | 1679686505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI VEMURU President 432-335-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 45C0001335) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-09-17 |