NPI | 1679804355 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIPS KIRK LABOR Md/Owner 817-410-2030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130049) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2020-06-22 |