| NPI | 1689498982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJ NASSER Medical Director 972-258-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-18 |