| NPI | 1922016898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TRICE President 870-536-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AR AR3073) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-01-16 |