Organization
MID CITIES ASC, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization
Contact information
Practice address
1305 AIRPORT FWY, SUITE 123, BEDFORD, TX 76021-6605
(682) 305-1112
(682) 305-1121
Mailing address
DEPT# 6028, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
11/09/2023
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