Organization
INNOVATIONS SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MATULIA (ACCOUNTANT)
(832) 656-7753
Entity
Organization
Contact information
Practice address
300 WILLOW CREEK PKWY STE 100, PALESTINE, TX 75801-4433
(903) 729-2888
Mailing address
300 WILLOW CREEK PKWY STE 100, PALESTINE, TX 75801-4433
(903) 729-2888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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