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Organization
BLUEBONNET SURGERY PAVILION LLC
Active
Organization
BLUEBONNET SURGERY PAVILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITESH PATEL DO (OWNER)
(978) 328-8686
Entity
Organization
Contact information
Practice address
1324 BROWN ST, 600, WAXAHACHIE, TX 75165-1421
(972) 937-4000
(972) 937-4001
Mailing address
1324 BROWN ST, 600, WAXAHACHIE, TX 75165-1421
(972) 937-4000
(972) 937-4001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2015
Last updated
01/02/2024
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