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Organization
GALLAGHER PARK SURGICENTER LTD
Active
Organization
GALLAGHER PARK SURGICENTER LTD
Active
Other names
THE CENTRE FOR AMBULATORY SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUSTIN MULLENS RN (ADMINISTRATOR)
(903) 813-3377
Entity
Organization
Contact information
Practice address
300 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7388
(903) 813-3377
(903) 868-3748
Mailing address
300 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7388
(903) 813-3377
(903) 868-3748
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10659955587
HUMANA PROVIDER #
TX
01
—
1497604
HMO BLUE PROVIDER #
TX
05
—
155561701
—
TX
01
—
2517739
AETNA HMO PROVIDER #
TX
01
—
5217068
AETNA PROVIDER #
TX
01
—
6850045
UHC PROVIDER #
TX
01
—
922866
FIRST HEALTH PROV #
TX
01
—
950014214
BLUE LINK PROVIDER #
TX
01
—
HH1380
BCBS PROVIDER #
TX
Enumeration date
07/08/2005
Last updated
12/21/2010
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