| NPI | 1912447418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAWN SAHINLER Administrator 806-535-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |