Organization
PSA AMBULATORY SURGERY CENTER OF KILLEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVELYN MAHONEY (CREDENTIALING MANAGER)
(512) 485-7208
Entity
Organization
Contact information
Practice address
2701 E. STAN SCHLUETER LOOP, KILLEEN, TX 76542
(512) 485-7200
Mailing address
PO BOX 208367, DALLAS, TX 75320-8367
(512) 485-7208
(844) 264-8678
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
08/28/2023
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