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Organization
SOUTHWEST ENDOSCOPY AND SURGERY CENTER
Active
Organization
SOUTHWEST ENDOSCOPY AND SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUKHTAR ANEES M.D. (CEO)
(817) 293-9292
Entity
Organization
Contact information
Practice address
701 E RENDON CROWLEY RD, BURLESON, TX 76028-7536
(817) 293-9292
Mailing address
701 E RENDON CROWLEY RD, BURLESON, TX 76028-7536
(817) 293-9292
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085950601
—
TX
01
—
490002791
MEDICARE RR
TX
01
—
HH1373
BCBS
TX
Enumeration date
04/13/2007
Last updated
06/19/2008
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