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Organization
SOUTHWEST SURGICAL ASSOCIATES
Active
Organization
SOUTHWEST SURGICAL ASSOCIATES
Active
Other names
Christopher Lynch LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER R LYNCH CST/CSFA/RN (MANAGING MEMBER)
(817) 808-8467
Entity
Organization
Contact information
Practice address
4216 SW LOOP 820, FORT WORTH, TX 76109-5350
(817) 808-8467
(817) 921-3352
Mailing address
PO BOX 101292, FORT WORTH, TX 76185-1292
(817) 808-8467
(817) 921-3352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
808232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2285573
UNITED HEALTHCARE
UT
01
—
7332427
AETNA HEALTHCARE
TX
Enumeration date
05/17/2012
Last updated
05/17/2012
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