| NPI | 1902802036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY T KHATER, M.D.,PH.D. Owner 806-792-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007864) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-11-29 |