| NPI | 1730702523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CANGELOSI Chief Administrative Officer 817-374-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-05-12 |