| NPI | 1700885076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SLACK CFO 936-568-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 392) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2025-05-06 |