Organization
SURGERY CENTER OF ZACHARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S MOUCH RN (ADMINISTRATOR)
(225) 306-0100
Entity
Organization
Contact information
Practice address
4845 MAIN ST, STE A, ZACHARY, LA 70791
(817) 556-8387
Mailing address
4845 MAIN ST, STE A, ZACHARY, LA 70791
(817) 556-8387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
04/11/2016
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