Organization
DALLAS ENDOSCOPY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO RODRIGUEZ-RUESGA M.D (MEDICAL DIRECTOR)
(214) 824-1730
Entity
Organization
Contact information
Practice address
3930 CRUTCHER ST, DALLAS, TX 75246-1701
(214) 520-8235
(214) 520-8236
Mailing address
PO BOX 679006, DALLAS, TX 75267-9006
(214) 520-8235
(214) 520-8236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
008262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761223
—
TX
Enumeration date
12/21/2005
Last updated
09/18/2024
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