| NPI | 1710056361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEBENDER Manager 713-622-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX F2217) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |