Organization
LEGENT OUTPATIENT SURGERY WESTOVER HILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FOWLER (PRESIDENT & CEO)
(817) 421-1066
Entity
Organization
Contact information
Practice address
10622 STATE HIGHWAY 151 STE 114, SAN ANTONIO, TX 78251-4729
(205) 263-7863
Mailing address
10622 STATE HIGHWAY 151 STE 114, SAN ANTONIO, TX 78251-4729
(210) 267-1589
(817) 507-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
08/02/2023
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