| NPI | 1962459610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A IRVINE President 254-245-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130129) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-04-25 |