| NPI | 1801826839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB RYAN GEBHART CEO 469-814-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 100421) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-08-01 |