| NPI | 1720059785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY R RHOADES Chief Financial Officer 682-885-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 000332) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-08-17 |