Organization
WEST TEXAS SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
52025803226
Entity
Organization
Contact information
Practice address
5150 BROADWAY ST # 189, SAN ANTONIO, TX 78209-5710
(520) 323-8732
(520) 547-1865
Mailing address
6339 E. SPEEDWAY BLVD, SUITE 201, TUCSON, AZ 85710-1147
(520) 323-8732
(520) 547-1865
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QA1903X
TAXONOMY
TX
Enumeration date
12/15/2010
Last updated
12/21/2015
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