# COLORADO UROLOGIC SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376155440
- **Authorized official:** CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 3 SUPERIOR DR STE 301, SUPERIOR, CO 80027-8655
- **Practice address phone:** (443) 738-2889
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916
- **Mailing address phone:** (469) 872-4706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2020
- **Last updated:** 09/18/2024