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Organization
PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC
Active
Organization
PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVELYN MAHONEY (CREDENTIALING MANAGER)
(512) 485-7208
Entity
Organization
Contact information
Practice address
2701 E. STAN SCHLUETER LOOP, KILLEEN, TX 76542
(512) 485-7200
Mailing address
PO BOX 208367, DALLAS, TX 75320-8367
(512) 485-7208
(844) 264-8678
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
08/28/2023
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