| NPI | 1063498657 |
|---|---|
| Doing Business As | NORTHEAST TEXAS SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PENNY JO BURNHAM Asc Director 903-792-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008678) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 008109) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-08-12 |