Organization
SURGERY CENTER 121 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN THOMAS (ADMINISTRATOR)
(469) 351-7079
Entity
Organization
Contact information
Practice address
9955 GILLESPIE DRIVE SUITE 200, PLANO, TX 75025
(972) 403-1110
(972) 403-1153
Mailing address
9955 GILLESPIE DRIVE SUITE 200, PLANO, TX 75025
(972) 403-1110
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
11/22/2023
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