| 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 |