| NPI | 1356764484 |
|---|---|
| Doing Business As | INDIANA SPECIALTY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JENETHA D MORAN Officer/Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 14-011996-1) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-06-30 |