NPI | 1194708024 |
---|---|
Doing Business As | PHYSICIANS' SURGERY CENTER OF LONGVIEW |
Entity Type | Organization |
Authorized Contact | JACINDA MICHEAL BENTON Administrator 903-248-9240 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 8064) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-08-22 |