| NPI | 1922027176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Chief Revenue Officer 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-02-14 |