| NPI | 1942299441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MELELEU Administrator 214-817-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008093) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-10-17 |