| NPI | 1902436348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BAZHAW Chief Revenue Officer 214-893-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2026-01-15 |