| NPI | 1861418378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A WORKMAN President 940-696-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000388) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-05-29 |