Organization
HERITAGE EYE CENTER LC
Active
Other names
Heritage Surgery Center, HERITAGE SURGERY CENTER LC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1501-B REDBUD BLVD, MCKINNEY, TX 75069
(972) 548-0771
(972) 562-2300
Mailing address
1501-B REDBUD BLVD, MCKINNEY, TX 75069
(972) 548-0771
(972) 562-2300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085907601
—
TX
Enumeration date
05/23/2006
Last updated
02/13/2024
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