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Organization
FIRST SURGERY SUITES, LLC
Active
Organization
FIRST SURGERY SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BOYD (MEDICAL DIRECTOR/PARTNER)
(903) 330-1246
Entity
Organization
Contact information
Practice address
1402 MEDICAL DRIVE, SULPHUR SPRINGS, TX 75482-2136
(903) 330-1246
Mailing address
1402 MEDICAL DR., SULPHUR SPRINGS, TX 75482-2136
(903) 330-1246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45C0001504
MEDICARE CCN
TX
01
—
H2206A
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
08/06/2009
Last updated
10/04/2010
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