| NPI | 1861641771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DAVIDSON Family 713-960-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007917) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |