| NPI | 1376540096 |
|---|---|
| Doing Business As | DEHAVEN SURGICAL CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | GINA V. LOWNDES Financial Service Manager 903-595-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000228) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 000228) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-03-08 |