Organization
PHYSICIANS SURGICAL CENTER OF FT. WORTH, L.L.P
Active
Other names
Physicians Surgical Center of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
TONI WILSON RN MSN CASC (ADMINISTRATOR)
(817) 570-0203
Entity
Organization
Contact information
Practice address
975 HASKELL ST, FORT WORTH, TX 76107-2653
(817) 570-0200
(817) 570-0280
Mailing address
975 HASKELL ST, FORT WORTH, TX 76107-2653
(817) 570-0200
(817) 570-0280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008484
TX
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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