Organization
PELVIC SPECIALTY SURGERY SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN FEAGINS MD (PRESIDENT)
(214) 360-1535
Entity
Organization
Contact information
Practice address
10501 N CENTRAL EXPY, SUITE 200, DALLAS, TX 75231-2220
(214) 360-1535
Mailing address
PO BOX 268969, OKLAHOMA CITY, OK 73126-8969
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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