| NPI | 1720099260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIZAM M MEAH President 979-292-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007865) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-02-11 |