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Organization
CLEARWAY SURGERY CENTER OF ADDISON, LLC
Active
Organization
CLEARWAY SURGERY CENTER OF ADDISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KORNBLUTH MD (PRESIDENT)
(855) 527-7246
Entity
Organization
Contact information
Practice address
17051 N. DALLAS PKWY SUITE 150, ADDISON, TX 75001
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY SUITE 205, ANNAPOLIS, MD 21401
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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