# WELLNESS AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1558926931
- **Authorized official:** ROBERT LERMA (ADMINISTRATOR)
- **Authorized official phone:** (469) 625-2500

## Contact information

- **Practice address:** 2719 VIRGINIA PKWY, MCKINNEY, TX 75071-4917
- **Practice address phone:** (940) 535-4910
- **Mailing address:** 2719 VIRGINIA PKWY, MCKINNEY, TX 75071-4917

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 11/01/2021