| NPI | 1740328947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Authorized Official 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 024675) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-09-05 |