| NPI | 1821471780 |
|---|---|
| Doing Business As | PREVITY CLINIC FOR SURGICAL CARE |
| Entity Type | Organization |
| Authorized Contact | GARRETT KEITH PEEL Owner 409-835-9500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |