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Organization
LAREDO SURGICAL CENTER
Active
Organization
LAREDO SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON VICKERS M.ED. (CEO)
(281) 777-0878
Entity
Organization
Contact information
Practice address
10410 MEDICAL LOOP BLDG 4A, LAREDO, TX 78045-6672
(281) 777-0878
Mailing address
4606 PAYTON CHASE LN, KATY, TX 77494-3080
(281) 777-0878
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
07/14/2020
Last updated
04/28/2022
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