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Organization
BRISTOL AMBULATORY SURGERY CENTER, LLC
Active
Organization
BRISTOL AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(469) 250-3640
Entity
Organization
Contact information
Practice address
350 BLOUNTVILLE HWY STE 108, BRISTOL, TN 37620-1676
(423) 844-6120
(423) 844-6119
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(423) 844-6120
(423) 844-6119
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
11/12/2025
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