NPI | 1750415220 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRIE NORMAND CEO/President 817-556-7799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000469) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2016-09-21 |