Organization
BAILEY SQUARE AMBULATORY SURGICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1111 W 34TH ST, AUSTIN, TX 78705-1900
(512) 454-6753
(512) 454-4314
Mailing address
1111 W 34TH ST, AUSTIN, TX 78705-1900
(512) 454-6753
(512) 454-4314
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085849001
—
TX
Enumeration date
04/18/2006
Last updated
04/18/2018
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