Organization
MISI ASC DALLAS, LLC
Active
Parent organization
MISI, PA
Other names
MISI, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISI, PA
Authorized official
MR. MICHAEL BASSEM RIMLAWI DO (FOUNDER/BOARD CHAIR)
(972) 884-4301
Entity
Organization
Contact information
Practice address
10400 N CENTRAL EXPY, DALLAS, TX 75231
(972) 884-4370
(972) 884-4321
Mailing address
10400 N CENTRAL EXPY, DALLAS, TX 75231
(972) 884-4370
(972) 884-4321
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130080
TX
261QA1903X
Ambulatory Surgical Clinic/Center
—
TX
Other
Enumeration date
10/04/2010
Last updated
07/29/2013
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