| NPI | 1871623058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BURTON Business Office Supervisor 214-350-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-10-19 |