| NPI | 1821182965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY EUGENE TJELMELAND CEO 512-617-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008080) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-07-29 |