| NPI | 1790384303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BAZHAW Chief Revenue Officer 214-893-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2026-02-05 |