Organization
WABASH VALLEY SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(973) 251-1132
Mailing address
13737 NOEL RD, #1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
06/15/2016
Last updated
06/12/2020
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