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Organization

FORT WORTH FUSION IUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NILSA LOPES (EA)
(520) 547-4115
Entity
Organization

Contact information

Practice address
6339 E SPEEDWAY BLVD, TUCSON, AZ 85710-1147
(520) 547-4115
Mailing address
6339 E SPEEDWAY BLVD, TUCSON, AZ 85710-1147
(520) 547-4115

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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