NPI | 1851475461 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GREGORY PAPAILA Owner 903-893-4244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007256) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2012-08-09 |