Organization
METRO SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LAKE (ADMINISTRATOR)
(214) 350-2400
Entity
Organization
Contact information
Practice address
5920 FOREST PARK RD STE 700, DALLAS, TX 75235-6414
(214) 350-2400
Mailing address
5920 FOREST PARK RD STE 700, DALLAS, TX 75235-6414
(214) 350-2400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008323
TX
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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