# SOUTHWEST AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1487750238
- **Authorized official:** NICHOLAS CRAFTS (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (832) 729-4009

## Contact information

- **Practice address:** 8125 S. WALKER AVENUE, OKLAHOMA CITY, OK 73139-9476
- **Practice address phone:** (405) 602-6500
- **Practice address fax:** (405) 602-6597
- **Mailing address:** 8125 S WALKER AVE, OKLAHOMA CITY, OK 73139-9417
- **Mailing address phone:** (405) 606-8890
- **Mailing address fax:** (405) 631-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0034 | OK | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 05/16/2023
