| NPI | 1881829026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE DEE ASHMORE Practice Administrator 972-276-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |