Organization
O&W SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE ORTIZ (CREDENTIALING)
(806) 356-7482
Entity
Organization
Contact information
Practice address
2200 W 4TH AVE, STE 207, CANYON, TX 79015-4030
(806) 452-7221
(806) 452-7231
Mailing address
2200 W 4TH AVE, CANYON, TX 79015-4030
(806) 452-7221
(806) 452-7231
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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