NPI | 1356307565 |
---|---|
Doing Business As | TULLAHOMA SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENETHA D MORAN Authorized Official 972-763-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 0000000148) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2017-09-14 |