Organization
IDC OPERATIONS, LP
Active
Other names
Surgery Center at Park City Medical Complex
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. KWEDAR (OWNER / CFO)
(817) 921-2667
Entity
Organization
Contact information
Practice address
905 E. EUREKA ST, WEATHERFORD, TX 76086-5809
(817) 598-8100
(817) 598-8101
Mailing address
905 EUREKA ST, WEATHERFORD, TX 76086-5809
(817) 598-8100
(817) 598-8101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING SURVEY
TX
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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