| NPI | 1760628184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DALTON Vice President And General Counsel 214-559-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: TX 54) |
| Additional Taxonomies | 261QC0050X Clinic/Center, Critical Access Hospital |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2023-08-16 |