Organization
CLEARWAY SURGERY CENTER OF ADDISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KORNBLUTH MD (PRESIDENT)
(855) 527-7246
Entity
Organization
Contact information
Practice address
17051 N. DALLAS PKWY SUITE 150, ADDISON, TX 75001
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY SUITE 205, ANNAPOLIS, MD 21401
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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