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Organization
IDC OPERATIONS, LP
Active
Organization
IDC OPERATIONS, LP
Active
Other names
Surgery Center at Park City Medical Complex
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. KWEDAR (OWNER / CFO)
(817) 921-2667
Entity
Organization
Contact information
Practice address
905 E. EUREKA ST, WEATHERFORD, TX 76086-5809
(817) 598-8100
(817) 598-8101
Mailing address
905 EUREKA ST, WEATHERFORD, TX 76086-5809
(817) 598-8100
(817) 598-8101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING SURVEY
TX
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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