Organization
PLANO AMBULATORY SURGERY ASSOCIATES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
4005 WEST 15TH ST, PLANO, TX 75093
(972) 519-1100
(972) 519-1393
Mailing address
4005 WEST 15TH ST, PLANO, TX 75093
(972) 519-1100
(972) 519-1393
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000284
STATE LICENSE NUMBER
TX
05
—
085942301
—
TX
Enumeration date
04/18/2006
Last updated
04/18/2018
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