| NPI | 1699519652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG MEHTA Medical Chief Of Staff 903-893-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |