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Organization

LONESTAR SURGICAL PROFESSIONALS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CRYSTALRAE CODDINGTON MCPHERSON CSFA (OWNER)
(602) 708-2493
Entity
Organization

Contact information

Practice address
212 JOYCE ST, WEATHERFORD, TX 76085-9524
(602) 708-2493
Mailing address
PO BOX 2405, WEATHERFORD, TX 76086-7405
(602) 708-2493

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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