| NPI | 1396238010 |
|---|---|
| Doing Business As | REVASK SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | WISSAM SALIBA Director 316-263-5891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS 04-35548) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2021-03-29 |