Organization
IRVING SPECIALISTS SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA A FIELDS (DIRECTOR, ACCOUNTING & FINANCE)
(478) 330-5747
Entity
Organization
Contact information
Practice address
6121 N HIGHWAY 161 STE 100, IRVING, TX 75038-2270
(478) 330-5747
(478) 330-5755
Mailing address
1114 GA HIGHWAY 96 STE C1, KATHLEEN, GA 31047-4102
(478) 330-5747
(478) 310-3105
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
08/02/2024
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