| NPI | 1851650428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SALSBERRY Chief Revenue Officer 682-236-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 103128) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-08-16 |