Organization
SOUTHWEST ENDOSCOPY & SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKHTAR ANEES M.D. (CEO)
(817) 293-9292
Entity
Organization
Contact information
Practice address
701 E. RENDON CROWLEY RD., BURLESON, TX 76028
(817) 293-9292
(817) 551-0616
Mailing address
701 E. RENDON CROWLEY RD., BURLESON, TX 76028
(817) 293-9292
(817) 551-0616
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1373
BCBS
TX
Enumeration date
05/30/2006
Last updated
12/20/2007
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