| NPI | 1326088832 |
|---|---|
| Doing Business As | SURGERY CENTER AT PARK CITY MEDICAL COMPLEX |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. KWEDAR Owner / CFO 817-921-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX Pending Survey) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |