NPI | 1538159397 |
---|---|
Doing Business As | MAGNOLIA SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENETHA MORAN Authorized Official 972-763-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2005-10-24 |
Last Update Date | 2022-07-21 |