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Organization

LONGHORN SURGICAL SERVICES, LLC

Active
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Organization

LONGHORN 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, #189, SAN ANTONIO, TX 78209-5710
(520) 547-4130
(520) 258-0304
Mailing address
6339 E SPEEDWAY BLVD, STE. 201, TUCSON, AZ 85710-1147
(520) 323-8732

Taxonomy

Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
TX

Other

Enumeration date
10/19/2009
Last updated
12/16/2015
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