| NPI | 1902090822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKOTO SAIGUSA Owner 903-526-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008054) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |