# COLORADO UROLOGIC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Urologic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083347611
- **Authorized official:** CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 11900 GRANT ST STE 200, NORTHGLENN, CO 80233-1117
- **Practice address phone:** (720) 544-6140
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916
- **Mailing address phone:** (469) 872-4706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 09/18/2024