| NPI | 1902306384 |
|---|---|
| Doing Business As | CARUS SURGICAL CENTER SAN MARCOS |
| Entity Type | Organization |
| Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 15919) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-01-20 |