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Organization
MANSFIELD SURGICAL PLAZA LLC
Active
Organization
MANSFIELD SURGICAL PLAZA LLC
Active
Other names
Mansfield Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SOLITO (CEO)
(817) 453-2744
Entity
Organization
Contact information
Practice address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Mailing address
280 REGENCY PKWY, MANSFIELD, TX 76063-7823
(817) 453-2744
(817) 842-0007
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008706
TX
Other
Enumeration date
06/10/2008
Last updated
02/17/2010
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