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Organization
RIO GRANDE SURGICAL SERVICES, LLC
Active
Organization
RIO GRANDE SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
(520) 258-0326
Entity
Organization
Contact information
Practice address
5150 BROADWAY ST, SAN ANTONIO, TX 78209-5710
(520) 323-8732
(520) 258-0304
Mailing address
PO BOX 96024, LAS VEGAS, NV 89195-6024
(520) 323-8732
(520) 258-0304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
12/22/2015
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