| NPI | 1851399646 |
|---|---|
| Other Name | NORTHWEST REGIONAL AMBULATORY 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: CO 16P689) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2019-12-03 |