Organization
COPPELL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY THOMASON M.D. (MANAGER)
(469) 774-3081
Entity
Organization
Contact information
Practice address
731 PLAZA ROAD, COPPELL, TX 75019
(469) 774-3081
Mailing address
731 PLAZA ROAD, COPPELL, TX 75019
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
11/03/2016
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