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Organization
FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, LLC
Active
Organization
FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, LLC
Active
Other names
Heritage Park Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN SUTTON (CLINICAL MANAGER/ADMINISTRATOR)
(903) 813-3700
Entity
Organization
Contact information
Practice address
3603 CALAIS DRIVE, SHERMAN, TX 75090
(903) 813-3700
(903) 813-3701
Mailing address
PO BOX 20603, OKLAHOMA CITY, OK 73156-0603
(405) 608-1700
(405) 608-1817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766065
—
TX
Enumeration date
06/16/2006
Last updated
07/08/2009
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