| NPI | 1710103015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELTA MASSINGILL Director Of Billing & Collections 713-554-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |