Organization
PERMIAN BASIN SURGICAL CARE CENTER, LLC
Active
Other names
Vista Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
4200 ANDREWS HWY, MIDLAND, TX 79703
(432) 520-5888
(432) 520-5889
Mailing address
4200 ANDREWS HWY, MIDLAND, TX 79703-4822
(432) 520-5888
(432) 520-5889
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007919
TX
Other
Enumeration date
08/19/2006
Last updated
03/25/2022
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