| NPI | 1851887863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA WILLIAMS Chief Administrator 972-955-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-06-10 |