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Organization
HYDE PARK SURGERY CENTER, LLC
Active
Organization
HYDE PARK SURGERY CENTER, LLC
Active
Other names
Hyde Park Surgery Center, LP
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
4611 GUADALUPE ST., SUITE 100, AUSTIN, TX 78751-2908
(512) 420-2303
(512) 420-2379
Mailing address
4611 GUADALUPE STREET, SUITE 100, AUSTIN, TX 78751-2928
(512) 420-2303
(512) 420-2379
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008677
TX
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
02/28/2008
Last updated
10/09/2024
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