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Organization

GLEN ECHO SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization

Contact information

Practice address
5550 FRIENDSHIP BLVD, SUITE 100, CHEVY CHASE, MD 20815-7256
(240) 534-2972
(240) 534-2983
Mailing address
14201 DALLAS PKWY STE 100, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445

Taxonomy

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

Other

Enumeration date
03/31/2016
Last updated
01/22/2026
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