Organization
COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP
Active
Other names
Medical City Lewisville
Organization subpart
No
Provider details
NPI number
Authorized official
MIAH STUTTS (CFO)
(972) 420-1556
Entity
Organization
Contact information
Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3641
(469) 420-7602
(972) 420-1073
Mailing address
1 PARK PLZ, REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W, NASHVILLE, TN 37203-6527
(469) 420-7602
(972) 420-1073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094192401
—
TX
Enumeration date
05/15/2006
Last updated
11/15/2016
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