| NPI | 1750363461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Market President 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 823) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-09-13 |