is a Ambulatory Surgical in Dallas, Texas. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for is 1932259231. The last update date is .
's current location address is 5920 Forest Park Rd, Dallas, Texas. You can contact this provider via phone number 2143502400 and fax number 2143524862. The mailing address for is 5920 Forest Park Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 5920 Forest Park Rd, Dallas, Texas |
Phone Number | 2143502400 |
Fax Number | 2143524862 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1932259231 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 5920 Forest Park Rd |
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City | Dallas |
State | Texas (TX) |
Post Code | 752356411 |
Phone Number | 2143502400 |
Fax Number | 2143524862 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 70064187 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8323 | TX | TX DEPT OF STATE HEALTH S |
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