| NPI | 1851408389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. BAYLESS Medical Director 972-438-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008078) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-09-05 |