NPI | 1104974310 |
---|---|
Other Name | NORTHWEST 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: TX 008513) |
Enumeration Date | 2007-01-07 |
Last Update Date | 2019-12-23 |