Organization
LONGHORN SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
(520) 258-0326
Entity
Organization
Contact information
Practice address
5150 BROADWAY ST, #189, SAN ANTONIO, TX 78209-5710
(520) 547-4130
(520) 258-0304
Mailing address
6339 E SPEEDWAY BLVD, STE. 201, TUCSON, AZ 85710-1147
(520) 323-8732
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
TX
Other
Enumeration date
10/19/2009
Last updated
12/16/2015
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