Organization
TERRE HAUTE SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
227 E MCCALLISTER DR, TERRE HAUTE, IN 47802-4248
(812) 234-4315
(812) 234-4381
Mailing address
227 E MCCALLISTER DR, TERRE HAUTE, IN 47802-4248
(812) 234-4321
(812) 234-4381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/02/2012
Last updated
03/09/2018
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