Organization
NORTH TEXAS TEAM CARE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGARAJ KIKKERI M.D. (OWNER)
(972) 681-7246
Entity
Organization
Contact information
Practice address
3865 CHILDRESS AVENUE, SUITE B, MESQUITE, TX 75150
(972) 681-7246
Mailing address
PO BOX 870638, MESQUITE, TX 75187-0638
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
01/26/2011
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