NPI | 1114477353 |
---|---|
Doing Business As | CARUS SURGICAL CENTER ROUND ROCK |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 15919) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2022-01-19 |