NPI | 1881678662 |
---|---|
Former Legal Business Name | FOUNDATION SURGERY AFFILIATE OF EL PASO, LLC |
Entity Type | Organization |
Authorized Contact | ERIC BOON Officer/Authorized Official 480-567-0269 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 006838) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2024-09-13 |