# WICHITA FALLS SPECIALTY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Momentum Specialty Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871169136
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 4 BURNSIDE STE 100, WICHITA FALLS, TX 76310-1128
- **Practice address phone:** (940) 400-6400
- **Mailing address:** 4 BURNSIDE STE 100, WICHITA FALLS, TX 76310-1128
- **Mailing address phone:** (940) 400-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 12/05/2022