| NPI | 1982675039 |
|---|---|
| Doing Business As | ST. JOHN'S OUTPATIENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHERINE L. REED Authorized Official 972-763-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 06-00085474) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-05-22 |