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Organization
SURGERY CENTER OF CROCKETT, LLC
Active
Organization
SURGERY CENTER OF CROCKETT, LLC
Active
Other names
Renaissance Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK WALKER M.D. (MEDICAL DIRECTOR)
(936) 307-9191
Entity
Organization
Contact information
Practice address
200 RENAISSANCE WAY, CROCKETT, TX 75835-1814
(936) 307-9191
(936) 544-7401
Mailing address
200 RENAISSANCE WAY, CROCKETT, TX 75835-1814
(936) 307-9191
(936) 544-7401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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