Organization
METAMORPHEON
Active
Other names
Destiny Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WILSON (ADMINISTRATOR)
(469) 213-8310
Entity
Organization
Contact information
Practice address
8350 DALLAS PARKWAY, SUITE 100, FRISCO, TX 75034
(469) 213-8310
Mailing address
8350 DALLAS PARKWAY, SUITE 100, FRISCO, TX 75034
(469) 213-8310
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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