| NPI | 1902302961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLACH Officer / Authorized Official 713-343-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-10-09 |