| NPI | 1871594275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer/Authorize Offical 214-213-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1136) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-09-19 |