| NPI | 1861931263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL LOVELADY President/CEO 469-907-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2023-08-16 |