# FIDELITY SURGICAL SUITES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891155214
- **Authorized official:** ROBERT M HOWINGTON CRNA (PRESIDENT)
- **Authorized official phone:** (972) 743-2126

## Contact information

- **Practice address:** 2452 LAKEWOOD DR, GRAND PRAIRIE, TX 75054-6800
- **Practice address phone:** (972) 743-2126
- **Mailing address:** 2452 LAKEWOOD DR, GRAND PRAIRIE, TX 75054-6800
- **Mailing address phone:** (972) 743-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 70862 | TX | Yes |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 02/26/2016