NPI | 1902615115 |
---|---|
Entity Type | Organization |
Authorized Contact | JARYD STEIN Chief Medical Officer 214-392-4976 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-02-21 |