| NPI | 1760623920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARPENTER President 281-446-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007917) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |