| NPI | 1710595996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON VICKERS CEO 281-777-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-04-28 |