| NPI | 1811558588 |
|---|---|
| Former Legal Business Name | ADVANCED SURGICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MASOUD MALEK Surgeon 424-527-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |