NPI | 1033399803 |
---|---|
Doing Business As | PHYSICIANS SURGICAL CENTER OF FORT WORTH |
Entity Type | Organization |
Authorized Contact | TONI WILSON Administrator 817-570-0203 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008484) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2007-11-09 |