| NPI | 1770570467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL Chief Executive Officer 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE FSSC-010) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-02-05 |