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Organization

NORTH TEXAS HEALTH ALLIANCE, LLC

Active
Other names
SOUTHWESTERN SURGERY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M. SULLIVAN M.D. (PRESIDENT OF GOVERNING BODY)
(972) 875-4700
Entity
Organization

Contact information

Practice address
2200 PHYSICIANS BOULEVARD, SUITE A, ENNIS, TX 75119
(972) 875-5538
(972) 875-8530
Mailing address
2200 PHYSICIANS BOULEVARD, SUITE 100, ENNIS, TX 75119
(972) 875-5538
(972) 875-8530

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046377
TX
Enumeration date
04/09/2008
Last updated
09/15/2010
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