| NPI | 1831441617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS AHLERS Director Of Revenue Analysis 254-759-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |