Organization
SANSOME SURGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
2600 E SOUTHLAKE BLVD STE 120, 313, SOUTHLAKE, TX 76092-8045
(214) 612-6515
Mailing address
2600 E SOUTHLAKE BLVD STE 120, 313, SOUTHLAKE, TX 76092-8045
(214) 612-6515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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