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Organization

SURGICAL ASSOCIATES OF THE MID-CITIES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL W BRYAN M.D. (PARTNER)
(817) 267-2678
Entity
Organization

Contact information

Practice address
2050 HALL JOHNSON RD STE 200, GRAPEVINE, TX 76051-8766
(817) 267-2678
(817) 354-0854
Mailing address
2050 HALL JOHNSON RD STE 200, GRAPEVINE, TX 76051-8766
(817) 267-2678
(817) 354-0854

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208C00000X
Colon & Rectal Surgery Physician
363A00000X
Physician Assistant

Other

Enumeration date
02/27/2007
Last updated
07/22/2022
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