NPI | 1689664906 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0732 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1218) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2024-10-15 |