Organization
MASTER CENTER FOR MINIMALLY INVASIVE SURGERY TEXAS,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W SEWELL M.D. (PRESIDENT)
(817) 748-0200
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2854
TX
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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