| NPI | 1699819979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKOTO SAIGUSA Owner 903-592-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008054) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-03-22 |