NPI | 1871751859 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA DANNA Officer/Authorized Official 972-763-3890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2008-05-27 |
Last Update Date | 2021-03-10 |