NPI | 1811010457 |
---|---|
Doing Business As | SOUTHEAST TEXAS BARIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | TAMARA RENE ANDERUD Asc Administrator 409-839-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX pending) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |