| NPI | 1750468583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D RANELLE Medical Director 817-540-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008515) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-05-27 |