| NPI | 1780003384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THADDEUS AGANA Managing Member 713-532-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |