| NPI | 1902218456 |
|---|---|
| Doing Business As | TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer / Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130197) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-10-24 |