| NPI | 1952412439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LOPEZ Bussiness Office Mgr. 972-937-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007799) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |