| NPI | 1982716106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GATLEY HEBARD CEO 817-442-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 00000) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-09-30 |