| NPI | 1932882230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON CHAD BAZHAW Sr. VP Revenue Cycle 469-270-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-09-18 |