Organization
DALLAS SURGICAL PARTNERS, LLC
Active
Other names
Physicians DaySurgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (MEDICARE AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
3930 CRUTCHER ST, DALLAS, TX 75246-1701
(214) 827-0760
(214) 827-0944
Mailing address
3930 CRUTCHER ST, DALLAS, TX 75246-1701
(214) 827-0760
(214) 827-0944
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085877102
—
TX
Enumeration date
07/12/2005
Last updated
08/04/2021
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