Organization
DTN SURGICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE ELLIS (BUSINESS OFFICES SUPERVISOR)
(832) 201-5157
Entity
Organization
Contact information
Practice address
9300 KIRBY DR, SUITE 100, HOUSTON, TX 77054-2530
(832) 201-5157
(832) 201-5167
Mailing address
PO BOX 1759, DEPT 787, HOUSTON, TX 77251-1759
(832) 201-5157
(832) 201-5167
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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