| NPI | 1942507488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Authorized Official 469-250-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060-260) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2024-09-05 |