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Organization

NATIONAL SURGICARE JV1 LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization

Contact information

Practice address
2690 N GALLOWAY AVE, MESQUITE, TX 75150-4857
(979) 279-8100
Mailing address
2690 N GALLOWAY AVE, MESQUITE, TX 75150-4857

Taxonomy

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

Other

Enumeration date
05/03/2006
Last updated
08/31/2007
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