NPI | 1730713439 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0723 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-03-03 |
Last Update Date | 2024-09-06 |