| NPI | 1760412803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK CRAFTS Officer/Authorized Official 832-729-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008424) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-11-17 |