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1164942157
WATER LEAF SURGERY CENTER MANAGEMENT LLC
FT WORTH, TX
NPI
1164942157
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
214-269-3875
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
WATER LEAF SURGERY CENTER MANAGEMENT LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 214-269-3875
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Mailing Address
WATER LEAF SURGERY CENTER MANAGEMENT LLC
5200 DAVIS LN STE B200
AUSTIN, TX 78749-4069
Phone number:
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