NPI | 1073997144 |
---|---|
Doing Business As | NORTH CAMPUS SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENETHA D MORAN Officer/Authorized Official 972-763-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 264-0) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO TBD) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2019-08-13 |