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Organization
ROCKWALL SURGERY CENTER LLP
Active
Organization
ROCKWALL SURGERY CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY V WHITE (ADMINISTRATOR)
(972) 772-6166
Entity
Organization
Contact information
Practice address
825 YELLOW JACKET LN, ROCKWALL, TX 75087-4818
(972) 772-6166
(972) 772-6167
Mailing address
825 W. YELLOWJACKET LANE, ROCKWALL, TX 75087
(972) 772-6166
(972) 772-6167
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHO46A
BCBS PROVIDER NUMBER
TX
Enumeration date
04/26/2006
Last updated
08/22/2020
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