Organization
COLONOSCOPYASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDICAL DIRECTOR (DIRECTOR)
(855) 542-6566
Entity
Organization
Contact information
Practice address
2100 VALLEY VIEW LN # 490, FARMERS BRANCH, TX 75234-8953
(855) 542-6566
(847) 847-2888
Mailing address
2100 VALLEY VIEW LN # 490, FARMERS BRANCH, TX 75234-8953
(855) 542-6566
(847) 847-2888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
07/21/2022
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