| NPI | 1952550865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOLUMIPO O. SOFOLA Ent 832-729-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007917) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |