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Organization
THE PALLADIUM FOR SURGERY DALLAS LTD
Active
Organization
THE PALLADIUM FOR SURGERY DALLAS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BURTON (BUSINESS OFFICE SUPERVISOR)
(214) 350-2400
Entity
Organization
Contact information
Practice address
5920 FOREST PARK RD, SUITE 700, DALLAS, TX 75235-6411
(214) 350-2400
(214) 352-4862
Mailing address
5920 FOREST PARK RD, SUITE 700, DALLAS, TX 75235-6411
(214) 350-2400
(214) 352-4862
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
70064187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008323
TX DEPT OF STATE HEALTH S
TX
Enumeration date
01/11/2007
Last updated
07/20/2007
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