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 |